Government Contracting, Labor & Employment Law, Insurance

OIG Updates Special Advisory Bulletin on the Effect of Exclusion from Participating in Federal Health Care Programs

by Ropes & Gray LLP on 5/15/2013

On May 8, 2013, the Office of Inspector General of the Department of Health and Human Services (“OIG”) released an Updated Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care...more

OIG Issues Updated Bulletin on Exclusion from Federal Health Care Programs

by Aaron Graham | Bradley Arant Boult Cummings LLP on 5/14/2013

On May 8, 2013, the Office of Inspector General (OIG) issued an updated Special Advisory Bulletin on the effect of exclusion from federal health care programs. A federal health care program (e.g., Medicare and Medicaid) is...more

OIG Updates Special Advisory Bulletin on the Effect of Exclusion from Federal Health Programs

by Julie Kass | Ober|Kaler on 5/14/2013

On May 8, 2013, the OIG issued an update that supersedes and replaces its 1999 Special Advisory Bulletin, The Effect of Exclusion from Participation in Federal Health Care Programs. The updated bulletin continues to stress...more

EEOC Hears Testimony Concerning Employer Wellness Programs and the Need for Agency Clarification

by Matt Nusbaum | Proskauer - Government Contractor Compliance... on 5/8/2013

Leslie Silverman, former EEOC Commissioner, now Co-Chair of Proskauer’s Government Regulatory and Contract Compliance Group, was part of a panel that testified before the EEOC today concerning the need for clearer guidance...more

Let the Seller Beware: Hospitals Treating HMO Patients Employed by the Federal Government are “Subcontractors” Governed by...

by Theodore A. Olsen | Sherman & Howard L.L.C. on 5/6/2013

When a health plan/HMO ("Plan") provides group health coverage to employers, including the federal government, the hospitals that treat federal employees under a contract with the Plan are government "subcontractors" subject...more

Healthcare Update, No. 2, May 2013 - Court Upholds OFCCP's Jurisdiction Over Healthcare Providers

by Cheryl Behymer, Richele Taylor | Fisher & Phillips LLP on 5/1/2013

A federal district court has confirmed the position of the Office of Federal Contract Compliance Programs (OFCCP) finding that three hospitals providing medical services to U.S. government employees, and receiving payments...more

OFCCP Enforcement Powers Expanded Over Healthcare Industry

by Amanda Pennington, Jaime Ramon, Caleb Wood | K&L Gates LLP on 4/29/2013

In a case closely monitored by the healthcare industry, a recent decision from the United States District Court for the District of Columbia expanded the jurisdiction of the Office of Federal Contract Compliance Programs...more

Court Ruling May Subject Hospitals and Health Care Providers to OFCCP Regulation

by Betsy Carroll, Candice Petty, Katharine Tylee | Davis Wright Tremaine LLP on 4/19/2013

Hospitals, health care providers, and managers of other businesses across the country may be surprised to learn that under a new federal court ruling, their organizations may now qualify as government contractors or...more

Health Care Providers Beware — You May Be a Governmental Contractor

by Daniel A. Kaplan, Mark Neuberger | Foley & Lardner LLP on 4/12/2013

Executive Order 11246 (Order) was first issued in September 1965 by President Johnson. Its purpose was to prohibit race, religion, color, and national origin discrimination by federal contractors and subcontractors and...more

Hospitals that Provide Services to Government Employees Through an HMO are Government Contractors, Court Rules

by King & Spalding on 4/10/2013

Healthcare providers who treat government employees through a health maintenance organization are government subcontractors subject to the jurisdiction of the Office of Federal Contract Compliance Programs (OFCCP), according...more

Health Care Services Providers to Federal Health Plan Members Subject to Federal Affirmative Action Compliance Audit

by Jonathan Cain | Mintz Levin - Health Law on 4/9/2013

On March 30, the US District Court for the District of Columbia held that three University of Pittsburgh Medical Center-affiliated hospitals were federal subcontractors to an HMO that provided a managed care health plan to...more

Federal District Court Affirms U.S. Department of Labor's Position that Healthcare Providers Participating in HMOs for Federal...

by Alissa Horvitz, Jade Cobb Murray, Joshua Roffman | Littler on 4/9/2013

In a long-awaited decision, the U.S. District Court for the District of Columbia ruled that three hospitals that provide medical services through a Health Maintenance Organization (HMO) to individuals covered by the Federal...more

PRRB Upholds Liquidation Requirement for Pension Expenses in Wage Index Calculation

by Mark A. Stanley | Ober|Kaler on 4/9/2013

The Provider Reimbursement Review Board (PRRB) has issued a decision upholding CMS’s policy of not recognizing pension expenses for purposes of calculating the wage index unless such expenses are liquidated within one year. ...more

Federal District Court Holds that OFCCP Has Jurisdiction Over Hospitals That Provide Services to HMOs Retained by Federal...

by Daniel Davis | Proskauer - Government Contractor Compliance... on 4/4/2013

Earlier this week, the federal district court for the District of Columbia ruled that three hospitals providing medical services through an HMO to U.S. government employees are “subcontractors” subject to OFCCP’s...more

Nursing Home to Pay $28M for Poor Care and False Billing

by Sylvia Hsieh | Lawyers.com on 3/11/2013

A jury ordered a nursing home to pay over $28 million for fraudulent billing, providing worthless services and for retaliating against two employees who complained about the shoddy care at the facility. ...more

$28 Million Verdict Against Illinois Nursing Home Liable Under False Claims Act & Illinois Whistleblower Reward And Protection Act

by Daniel Davis, Harris M. Mufson, Steven J. Pearlman | Proskauer - Whistleblowing & Retaliation on 2/26/2013

On February 11, 2013, a jury in federal district court in Illinois found a nursing home operator (Company) liable under the False Claims Act and the Illinois Whistleblower Reward and Protection Act for fraudulent billing and...more

Corridors: News for North Carolina Hospitals - Winter 2012

by Wilson Hayman, Jennifer G. Parser, Laura Broughton Russell, Pamela A. Scott | Poyner Spruill LLP on 12/24/2012

In this issue: - Proposed Affordable Care Act Regulations are Designed to Encourage Participation in Wellness Programs - Proposed Rules Implementing Affordable Care Act Rules Prohibit Discrimination by Health...more

Feds Target Independent Contractor Misclassification

by Wilson Sonsini Goodrich & Rosati on 9/8/2011

Citing a desire to minimize losses in contributions to unemployment insurance funds, protect workers' rights, and "level the playing field" for employers that abide by the law, the United States Department of Labor's (DOL's)...more

DeWine and Lawmakers Introduce Ohio False Claims Act Legislation

by Dinsmore & Shohl LLP on 4/11/2011

Yesterday, two members of the Ohio General Assembly introduced a bill to create the Ohio False Claims Act. The bill’s sponsors, Senator Jim Hughes (R-Columbus) and Senator Scott Oelslager (R-North Canton), noted that the bill...more

Federal Forecaster: Relevant News For Entities & Individuals With Business Concerns in the Areas of Government Contracts & Grants...

by Reed Smith on 5/20/2010

IN THIS ISSUE: - Suspension and Debarment Is Not a Tool To Punish…Except When It Is — Page 2 - Don’t Forget About D&O Insurance When That Government Subpoena Arrives — Page 5 - New Service Contracting Regulations: Will...more

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Government Contracting › Labor & Employment Law › Insurance